Red Ribbon Rally
Table Registration


Name of Organization:

Contact Person:

Phone Number:

Mailing Address:

Email Address:

Table Theme/Name:


Check the box for any items you need:

[ ] Electrical Outlet - you are responsible for supplying your own 50' extension cord

[ ] 8' Table - the tables are not skirted or clothed

[ ] Chairs - How many?

[ ] Other: (please describe)




Please print and return this form as soon as possible to

Recovery & Prevention Resources
Prevention Coordinator
118 Stover Drive
Delaware, OH 43015


We will contact you as we get closer to our next rally in October.
We look forward to working with you.
Thank you for your participation.